| NPI | 1336651165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700428) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161065) |
| 101YP2500X Counselor, Professional (Licence: OH E.1700428) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-11-14 |